<div id="box_user_panel">
    <form method="post" accept-charset="utf-8" action="<?php echo site_url(uri_string());?>">
        <input type="hidden" name="form" value="report">
        <div class="em"><p class="title_high"><?php echo lang('label_report');?></p></div>
        <div class="em">
            <select name="type">
                <option value="suggestion"><?php echo lang('label_suggestion');?></option>
                <option value="error"><?php echo lang('label_error');?></option>
                <option value="other"><?php echo lang('label_other');?></option>
                <?php if(is_admin()):?>
                <optgroup label=<?php echo lang('label_admin_options');?>>
                <option value="design"><?php echo lang('label_design');?></option>
                <option value="development"><?php echo lang('label_programming');?></option>
                <?php endif;?>
            </select>
            <textarea name="report" rows="6" cols="60" required autofocus></textarea>
            <br>
            <input type="submit" name="submit" value="<?php echo lang('label_send');?>" class="button" />
    </form>
</div>